She may assume that the problem is merely behavioral in nature and be more inclined to call a trainer, who may or may not be familiar with medical rule-outs for this sudden behavior change.
As a dog owner, you cannot be expected to be familiar with all the medical rule-outs for dozens of abnormal canine behaviors.
The more knowledge a trainer has of medical rule-outs for abnormal behavior, the better equipped she will be to help her clients recognize when a visit to the veterinarian is needed - a visit that may heal the family's relationship with their dog, and save the dog's life.
Included in her discussion of each abnormal canine behavior and behavioral pathology are rule-outs for the conditions, both medical and non-medical.
At first, I diagnosed this patient with eating disorder, bulimic type; eating disorder not otherwise specified; and polysubstance dependence in early remission with multiple
rule-outs, including anxiety disorder NOS; psychotic disorder NOS; bipolar disorder NOS; and bipolar disorder with psychosis.
TB is widespread; there were always people being rehydrated after a diarrhea episode, and we admitted many "
rule-outs" with possible cholera or typhoid.
Diagnostic
rule-outs for the mass included bacterial, viral, parasitic, or fungal infection; neoplasia; or a developmental anomaly.
Diagnostic
rule-outs include bacterial (including Mycobacteriurn species), viral, or fungal infection, and neoplasia.